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Mental Health

Volume 958: debated on Monday 13 November 1978

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asked the Secretary of State for Scotland when he intends to publish a White Paper on the working of the legislation on mental health.

My right hon. Friend hopes to publish a discussion paper as early as possible in 1979 following a review now being undertaken of Scottish mental health legislation.

asked the Secretary of State for Scotland what percentage of the total nursing staff in National Health Service hospitals is engaged exclusively in the care of the mentally ill or handicapped; what this represents in terms of nursing staff per 100 patients; and what are the comparable figures for all other patients in general hospitals.

Twenty-four per cent., which represents 51 nursing staff per 100 patients. The comparable figures for general hospitals are 66·7 per cent. and 128, respectively.

asked the Secretary of State for Scotland what percentage of National Health Service beds is occupied by mentally ill or mentally handicapped persons; and what percentage of total consultants works with such patients.

asked the Secretary of State for Scotland if he will publish in theOfficial Report a table showing the names and ages of all mental hospitals, the number of wards in each with more than 50 beds, the progress made in replacing these hospitals and eliminating such large wards in the last decade, and capital investment plans for the next five years.

A list of the mental hospitals in Scotland showing the date of the original building is given below but the dates quoted are of limited significance since virtually all of these hospitals have been substantially improved and extended since they were first opened. Information about the size of wards is not available centrally. Much of the upgrading and new building carried out since 1948 has been undertaken specifically to reduce over-crowding and to provide smaller ward units.Future health service capital investment plans for major building schemes were announced by my right hon. Friend the Secretary of State for Scotland in the House on 2nd May 1977 and included a number of schemes to improve the mental health services in Scotland. In addition, health boards finance smaller schemes from their ordinary capital programme allocations.

Health Board and HospitalDate of original building
Argyll and Clyde Health Board
Argyll and Bute Hospital1868
Broadfield Hospital1870
Ravenscraig Hospital1879
Ardmhor House1900
Caldwell House Hospital1900
(converted 1928)
Dykebar Hospital1905
Elderslie House1887
Merchiston House1880
Ayrshire and Arran Health Board
Dunlop House1933
Ravenspark Hospital1847
Ailsa Hospital1869
Borders Health Board
Dingleton Hospital1872
Dumfries and Galloway Health Board
Crichton Royal Hospital1839
Fife Health Board
Glenlomond Hospital1919
Lynebank Hospital1965
Stratheden Hospital1866
Forth Valley Health Board
Bellsdyke Hospital1870
Muirfield House1937
Royal Scottish National Hospital1835
Grampian Health Board
Ladysbridge Hospital1861
House of Davio1888
Kingseat Hospital1904
Royal Cornhill Hospital1800
(approx.)
Ross Clinic1958
Woodlands Hospital1931
(converted 1948)
Bilbohall Hospital1835

Health Board and HospitalDate of original building
Greater Glasgow Health Board
Gartnavel Royal Hospital1843
Gartloch Hospital1896
Lennox Castle Hospital1876
Stoneyetts Hospital1900
(approx)
Waverley Park Hospital1900
Woodilee Hospital1875
Leverndale Hospital1890

Highland Health Board

Craig Dunain Hospital1870
Craig Phadrig Hospital1969
Dunain House1890

Lanarkshire Health Board

Bellefield Hospital1890
(converted 1914)
Birkwood Hospital1870
(approx.)
Hartwood Hospital1895
Kirklands Hospital1850

Lothian Health Board

East Fortune Hospital1922
Herdmanflat Hospital1866
Gogarburn Hospital1934
Rosslynlee Hospital1813
Royal Edinburgh Hospital1813
Bangour Village Hospital1904

Tayside Health Board

Royal Dundee Liff Hospital1880
Strathmartine Hospital1901
Sunnyside Royal Hospital1858
Murray Royal Hospital1827
Murthly Hospital1864
Notes:
1. Includes mental illness and mental handicap hospitals.
2. Excludes hospitals with which health boards have contractual arrangements.

Salary as at 1st April 1973*Salary as at 1st, 4pril 1978†

Qualified Nurse—

Ward sister£1,515-£1,947£3,324-£4,299
Staff nurse£1,191-£1,404£2,646-£3,255
Enrolled nurse£1.056-£1,236£2,370-£2,886
Unqualified Nurse—
Nursing auxiliary£912-£1,092£2,07-£2,454
* Long service increments were also payable to nurses who had spent three years on their maximum at the following rater:—

£
Ward sister90
Staff nurse84
Enrolled nurse72
Nursing auxiliary/assistant60
† with effect from 1st April 1978, all nurses are paid an earnings supplement of £130 per annum in addition to these salary scales.

asked the Secretary of State for Scotland what is the percentage drop in salary for a ward sister, a staff nurse, a qualified nurse and an auxiliary nurse

asked the Secretary of State for Scotland what is the weekly cost of feeding a patient in a mental hospital; and what is the comparable figure in a general hospital.

In 1976–77, the latest year for which figures are available the average sum spent on provisions at psychiatric hospitals was £4·68 per patient week and at all hospitals other than psychiatric £5·37 per week.These averages conceal a wide range of costs for individual hospitals, from £3·54 to £6·34 for psychiatric hospitals and from £2·96 to over £8 for other hospitals. These variations reflect local circumstances; it seems likely that the lower average costs in psychiatric and long-stay hospitals reflects also factors such as the lower turnover of patients, the higher occupancy rate, the age of the patients and the generally lower levels of physical activity in these hospitals.